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HomeMy WebLinkAbout0029632-Building (siding) CITY OF OSHKOSH N°- 29632 � PERMIT - APPI.ICATION AND RECORD TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ` �y ADDRESS �I Z r �� 7 ` ��� PLAN NO. OWNER 1�1'-/ ��1. V-w�S DESIGNER USE/NATURE OF WORK ��� �`�'� r � /�Or�k.CY L_x' �2 � Gt�iP� . RUII DING CnNTRACTOR � 1P S'S !�a � `S Size Sq. Ft. # Rooms # Stories � Height Foundation Class of Const. � Occupancy Permit �a � HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT —WH —Disp —WSoft —CBasin _Lav —Sh —DW —DF —San. Sewer _WC —FDr —SP _Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other FEES: Valuation � Per i Fee Paid $ � � Park Dedication $ ISSUED BY Date c �Z- Final/O.P. � In the performance of s work I agree o perform all work pursuant to rules governing the described construction. SIGNATURE ' � AGENT/OWNER DATE ADDRESS \�� � ��� ��~ �-\Z'� `C7�2'd TELEPHONE#